Re: Scarlet Fever?+Amoxicillin=Hives?

Yes, it is unfortunately that just about anything can trigger hives--
strep, other bacteria, viral infections, allergies, looking cross-eyed
at a hive-prone person.

With a rash, it's probably not a drug allergy. With hives you don't
know what it is-- it could be a drug allergy especially with pen or
sulfa, and are obligated to stop the antibiotic. Now the question is
whether to replace it with another.

It's always a bad situation if you do a strep test after you start the
antibiotic. If you're going to ignore the result if negative, why do it
at all? You should save the money for the strep test if you're going to
treat no matter what it says.

I suppose the lesson is that, if the major reason by most antibiotics
are to be given to children with sore throats is to prevent rheumatic
heart disease, then everybody should be strep-tested from the word go.
And since adults don't get rheumatic fever from sore throats, we can
pretty much quit given them antibiotics for sore throats also (unless
we see giant pus-filled tonsils or something very impressive. Maybe).

And we've got to stop all this giving of amoxicillin for earaches and
undiagnosed sore throats. Even if it is cheap; it's NOT a good placebo.
Because it just causes more trouble than it's worth, and this case
neatly illustrates why.

SBH

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